HomeMy Public PortalAbout10529 OLIVE ST_Building_8/31/1964_ ;-`)
76A636A CE#6032-63 APPLICATION FOR-BUILDING PERMIT -
COUNTY OF LOSANGELES BUILDING
ADD
DEPARTMENT 'OF COUNTY. ENGINEER
BUILDING AND'SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY,ENGINEER NEAREST I
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISIC,j N G TY E P Y
FOR' APPLICANT TO-FILL IN Cj/) NST.
BUILDING n�1 i STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS vV WE e CLASS. NO._0_DWELI UNITS BK PGe�
LOT NO: I' O BLOCK WATER _ED o
CERTIFICATE:
NOT IREQU1RED a RECEIVED
TRACT f7 MAP747X22,
7 HIGHWAY
NO,OF BLOGS. NO. (,/(/ (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT /o 'L. NOW ON LOT USE ZONE PECIAL
USE OF CONDITIONS ((!
EXISTING BLDG. TEL
Coll
OWNER Q NO. /a BUILDING EXIST
SETBACK YARD HWY STREET NAME. WIDTH
ADDRESS oZQ FRONT
ARCHITECT OR TEL. P. L. C/
ENGINEER NO. SIDE.
ADDRESS a
TEL. O
CONTRACTOR ,_rAm NO: V
ADDRESS
DESCRIPTION OF WORK
W
a
E ADD ALTER REPAIR DEMOLISH N
Z
Sq.FT. /� NO.OF NO. OF
SIZE • pL�® STORIES . FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION S f r
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION: LOCATION nn
FEES iLJ� FEE S r FORMS, MATERIALS �I.O LG
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY . FURNACE: LOCATION. U -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK '
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF,THE LABOR CODE OF THE STATE OF CALIFORNIA'RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR.
PERMITTEE I RECT AND POSTED "
FINAL • Y
ADDRESS �. v W Yew
�
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
D PLAN CHECK VALIDATION cK. M.o. CASH _ PERMIT VALIDATION CK, M.O.• CASH
r% 17
LAC.V • �
LAl,u 3.3 1 s AUG 31 1` -D 5 7.00-